ʻO Diverticulitis

ʻO nā diverticula he liʻiliʻi, ʻeke ʻeke a mau ʻeke paha i hana ʻia ma ka paia o loko o ka ʻōpū. Hana ʻia ka divertikulitis i ka wā e wela ai a maʻi paha kēia mau pou. ʻO ka pinepine, aia kēia mau ʻeke i loko o ka ʻōpū nui (kolona).

ʻO ke kūkulu ʻana i nā ʻeke a i ʻole nā ​​ʻeke i ka uhi o ka ʻōpū i kapa ʻia he diverticulosis. ʻIke ʻia ia ma mua o ka hapalua o nā ʻAmelika ma mua o 60 mau makahiki. Eia nō naʻe, ʻaʻohe mea i ʻike pono i ke kumu o ka hana ʻana o nā pou.

ʻO ka ʻai ʻana i kahi papaʻai momona haʻahaʻa i hana ʻia i nā meaʻai i hana ʻia ke kumu. ʻOi aku ka paʻakikī o ka paʻa paʻa a me nā pahu paʻakikī ke ʻai ʻole ʻoe i ka fiber. Hoʻonui ka hele ʻana i nā pahu i ka hoʻonui i ke kaomi i ke kolona a i ʻole nā ​​ʻōpū, i alakaʻi ʻia ai i kēia mau ʻeke.

I kekahi mau hihia, hiki i kekahi o nā ʻeke ke lilo i wela a ulu kahi waimaka liʻiliʻi i ka uhi o ka ʻōpū. Hiki i kēia ke alakaʻi i kahi maʻi i ka pūnaewele. Ke kū kēia, kapa ʻia ke ʻano ʻo diverticulitis. ʻAʻole ʻike ʻia ke kumu o ka diverticulitis.

ʻO ka poʻe me ka diverticulosis ʻaʻohe o lākou mau hōʻailona, ​​akā loaʻa paha ka bloating a me ka cramping ma ka ʻaoʻao haʻahaʻa o ka ʻōpū. Kākaʻikahi, ʻike paha lākou i ke koko i loko o kā lākou pahu holoi a i ʻole ma ka pepa lua.

ʻOi aku ka nui o nā ʻōuli o ka diverticulitis a hoʻomaka koke me ka hiki ʻole, akā e lilo lākou i mea ʻoi aku ka hewa i loko o kekahi mau lā. Pākuʻi ʻia lākou:

• ʻO ka palupalu, ma ka ʻaoʻao hema hema o ka ʻōpū
• Bloating a i ʻole kōkena
• Fiva a me nā anuanu
• ʻO Nusea a me ka luaʻi
• ʻAʻole pololi a ʻai ʻole

E nānā kāu mea mālama ola iā ʻoe. Pono ʻoe i nā hoʻokolohua koko e ʻike inā loaʻa ʻoe i ka maʻi.

Hiki i nā hoʻokolohua ʻē aʻe ke kōkua i ke diagnose diverticulitis ke:

• CT scan
• Ultrasound o ka ʻōpū
• X-kukuna o ka ʻōpū

ʻO ka mālama ʻana i ka diverticulitis kaukaʻi ʻia i ka nui o nā ʻōuli. Pono paha kekahi poʻe i ka haukapila, akā ʻo ka hapa nui o ka manawa, hiki ke mālama ʻia ka pilikia ma ka home.

I mea e kōkua ai i ka ʻeha, manaʻo paha kāu mea hāʻawi iā ʻoe:

• E hoʻomaha i ka moena a hoʻohana i kahi hoʻomehana i kou ʻōpū.
• E lawe i nā lāʻau ʻeha (e nīnau i kāu mea hāʻawi āu e hoʻohana ai).
• E inu i nā wai wale no hoʻokahi a ʻelua paha lā, a laila hoʻomaka lohi i ka inu ʻana i nā wai mānoanoa a laila e ʻai ana i nā meaʻai.

Hiki i ka mea hāʻawi ke mālama iā ʻoe me nā lāʻau ʻaloʻalo.

Ma hope o kou ʻoi aku o ka maikaʻi, e ʻōlelo ana kāu mea hāʻawi e hoʻohui i ka fiber hou i kāu papaʻai. Hiki i ka ʻai ʻana i ka pulupulu ke pale aku i nā hoʻouka kaua e hiki mai ana. Inā loaʻa iā ʻoe ka bloating a gas paha, e hoʻēmi i ka nui o nā fiber āu e ʻai ai no kekahi mau lā.

Ke hoʻokumu ʻia kēia mau ʻeke, loaʻa iā ʻoe no ke ola. Hiki i ka Diverticulitis ke hoʻi, akā manaʻo kekahi mau mea hoʻolako i kahi papa hana nui fiber e hoʻoliʻiliʻi i kou manawa e hoʻi hou ai.

ʻO ka pinepine, he ʻano akahai kēia e pane maikaʻi i ka mālama ʻana. E loaʻa i kekahi poʻe ka nui o ka hoʻouka kaua ʻana o ka diverticulitis. Pono paha ke kahakaha ʻana ma kekahi mau hihia. I nā manawa he nui, e paipai nā mea hoʻolako iā ʻoe i kahi kolonekia ma hope o ka hoʻōla ʻana o diverticulitis. Hiki i kēia ke kōkua i ke kāpae ʻana i nā kūlana ʻē aʻe i hiki ke mimic i nā ʻōuli diverticulitis.

ʻO nā pilikia koʻikoʻi hou aʻe e ulu aʻe paha:

• Nā pilina maʻamau e hana ma waena o nā ʻāpana o ke kolona a i ʻole ma waena o ke kolona a me kekahi ʻāpana o ke kino (fistula)
• Hole a haehae paha i ke kolona (perforation)
• Wahi ākea ma ke kolona (koʻikoʻi)
• Hoʻopiha ʻia ka ʻeke me ka pus a i ʻole ka maʻi (abscess)
• Kahe mai ka diverticula

Kāhea i kāu mea hāʻawi inā loaʻa nā ʻōuli o diverticulitis.

Kāhea pū inā loaʻa ʻoe i ka diverticulitis a loaʻa iā ʻoe:

• Koko i loko o kāu mau noho
• Fever ma luna o 100.4 ° F (38 ° C) ʻaʻole hele aku
• ʻO Nusea, ka luaʻi, a i ʻole ke anuanu
• ʻO ka ʻōpū hōʻeha a hoʻi i hope e hōʻeha a ʻeha loa paha

• ʻO Diverticulitis a me diverticulosis - hoʻokuʻu
• Diverticulitis - he aha e nīnau aku ai i kāu kauka
• Meaʻai kiʻekiʻe-fiber
• ʻAiʻai haʻahaʻa

• Kolonekia
• ʻŌnaehana Digestive
• ʻO diverticula kolone - moʻo

Bhuket TP, Stollman NH. Maʻi Diverticular o ke kolona. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 121.

Kuemmerle JF. Nā maʻi hōʻeha a me nā anatomic o ka ʻōpū, peritoneum, mesentery, a me omentum. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 133.